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Cervical hyperextension injuries are common and are associated with significant morbidity. Clinically two syndromes are described: In order to clarify the pathology of the persistent pain in late whiplash syndrome we performed a cervical spine magnetic resonance imaging MRI in 33 consecutive patients suffering from this condition.

Indeed, the group of patients with spondylosis and other MRI changes had higher clinical scores than those without MRI abnormalities as measured by a three-point grading system based upon the symptoms and signs shown. Several MRI changes, most of them already demonstrable by standard X-ray were seen among 33 patients suffering from late whiplash syndrome.

Although no Michelles xxx whiplash stripper whiplash of these findings appears to be specific and certainly related to the previous neck injury, they could represent a risk factor for a longer pain duration. The Michelles xxx whiplash stripper whiplash of this article is to narrow the gap that exists in the clinical application of scientific research and empiric evidence for the evaluation and management of late whiplash.

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As psychosocial issues play a role in the development of persistent whiplash symptoms, discerning the organic conditions from the biopsychosocial factors remains a challenge to clinicians. The term " whiplash " represents the multiple factors Michelles xxx whiplash stripper whiplash with the event, injury, and clinical syndrome that are the end-result of a sudden acceleration-deceleration trauma to the head and neck.

However, contentions surround the nature of soft-tissue injuries that occur with most motor vehicle accidents and whether these injuries are significant enough to result in chronic pain and limitations. The stark contrast in litigation for whiplash that exists among industrialized nations and less developed countries suggests another factor that could influence one's interpretation of symptoms' chronicity associated with Late Whiplash Syndrome.

There are no gold standard tests or imaging techniques that can objectify whiplash -associated disorders. A lack of supporting evidence and disparity in medico-legal issues have created distinct camps in the scientific interpretations and clinical management of late whiplash.

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Recent evidence suggests that Late Whiplash Syndrome should be considered from a different context. The purpose of this article is to expound on several of the significant findings in the literature and offer clinical applications for evaluation and management of Late Whiplash Syndrome.

Late whiplash syndrome: a clinical...

Natural Michelles xxx whiplash stripper whiplash of late whiplash syndrome outside the medicolegal context. A systematic literature review of physical prognostic factors for the development of Late Whiplash Syndrome. There have been 3 previous systematic reviews of prognosis of whiplash with conflicting findings.

The Quebec Task Force concluded that high priority should be given to determining prognostic factors. Subsequently their review was updated by Cote et al Spine ; E and most recently by Scholten-Peeters et al Pain ; We searched electronic databases from their inception to August using a prespecified search strategy.

We included prospective cohort and case control studies that studied physical prognostic factors at baseline. Two independent reviewers selected articles, extracted data, and assessed quality. Meta-analysis was not performed due to the heterogeneity between studies. Instead, levels of evidence were generated by grouping similar Michelles xxx whiplash stripper whiplash from cohorts. Thirty-eight articles from 26 cohorts were reviewed.

The majority of articles 25 of 38 were rated as low quality. No studies were rated as high quality.

High initial neck pain intensity, neck pain related disability, and cold hyperalgesia all had moderate evidence for an association with the development of LWS. No factor was rated as having strong evidence.

Pain has a central role to play as a prognostic factor for the development of LWS. Other physical factors commonly used in the clinical setting showed inconclusive evidence for their influence on prognosis.

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There is a need for improved quality of studies with consistent use of validated measures of all categories of prognostic factors and outcome. This may then provide a clearer understanding of prognosis of Whiplash Associated Disorders and therefore facilitate effective management of this costly problem. Parieto-occipital hypoperfusion in late whiplash syndrome: Brain single-photon emission tomography SPET with N,N''-1,2-ethylene-diylbis-L-cysteine diethyl ester dihydrochloride ECD was performed on ten patients with a clinically high grade late whiplash syndrome and on 11 controls.

Two independent readers blinded to the clinical diagnosis were able to separate the ten patients from normal controls. All these patients had qualitative bilateral parieto-occipital hypoperfusion. To confirm this, the perfusion rate of parieto-occipital over global perfusion index was calculated after drawing elliptical regions of interest in transversal-oblique slices.

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The perfusion indices in patients were significantly lower than in controls as tested by the Mann-Whitney U test. This quantitative study proves our recent qualitatively analysed observation. Hospital Basel Switzerland ; Ettlin, T. Late sequelae of whiplash injury with dissection of cervical arteries.

Michelles xxx whiplash stripper whiplash....

The objective of our study was to estimate the incidence of posttraumatic dissections of cervical arteries in patients with whiplash injury acquired in a car accident. We performed a retrospective analysis of medical records of patients with whiplash injury acquired in car accidents between and and searched for dissections of cervical arteries occurring within 12 months after injury.

Eight cases of cervical arterial dissection occurred within 12 months following whiplash injury. In 7 cases The incidence of posttraumatic dissections after whiplash injuries was much higher than the overall incidence of cervical arterial dissections in the general population 1.

The risk of cerebrovascular events was still increased months after whiplash injury 0. There is an increased risk of posttraumatic dissection and cerebrovascular events within 12 months after whiplash injury. Car accident is an important risk factor for arterial dissections.

The victims of car accidents should be screened for arterial dissections. The results of this study should be more thoroughly investigated in a prospective trial of car accident victims as a risk factor for arterial dissections. In many Western countries, Michelles xxx whiplash stripper whiplash a motor vehicle collision, those involved seek health care for the assessment of injuries and for insurance documentation purposes.

In contrast, in many less wealthy countries, there may be limited access to care and no insurance or compensation system.

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The purpose of this infodemiology study was to investigate the global pattern of evolving Internet usage in countries with and without insurance and the corresponding compensation systems for whiplash injury. We used the Internet search engine analytics via Google Trends to study the health information-seeking behavior concerning whiplash injury at national population levels in Europe.

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We found that the search for " whiplash " is strikingly and consistently often associated with the search for "compensation" in countries or cultures with a tort system. Frequent or traumatic painful injuries; Michelles xxx whiplash stripper whiplash or disorders such as arthritis, headache, radius, and hip fracture; depressive disorders; and fibromyalgia were not associated similarly with searches on "compensation.

MR diagnosis and clinical management of whiplash injury syndrome of spinal cord. To study Michelles xxx whiplash stripper whiplash MR manifestations of whiplash injury syndrome of spinal cord.

MR images of 21 cases diagnosed as whiplash injury syndrome were retrospectively studied. Those images included transverse and sagittal views and coronal scan had been performed in some cases.

MRI inspection safely and objectively reveals the extent of the spinal injury, and helps the anticipation of the prognosis. MRI is the first choice of the imaging modalities assessing the whiplash injury syndrome of the spinal cord. An early diagnosis is valuable to clinical management and rehabilitation.

Whiplash injury is a relatively common injury of clinical acupuncture and moxibustion in the United States. The mechanism and clinical manifestation of whiplash injuries as well as its pathogenesis described in TCM were analyzed in this present article. The authors introduced the TCM syndrome differentiation of whiplash injuries and claimed that both the location and the stage of disease should be considered.

For the different injury locations, the meridian musculature differentiation was applied to classify the whiplash injuries as Taiyang, Yangming, Shaoyang and Shaoyin Meridian syndromes.

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Considering the duration of the injury, qi stagnation and blood Michelles xxx whiplash stripper whiplash types were classified in the acute stage and phlegm accumulation, insufficiency of the liver and kidney and qi and blood deficiencies types were classified during the chronic stage.

An acupuncture protocol for whiplash injuries and Michelles xxx whiplash stripper whiplash cases were also introduced. Background In many Western countries, after a motor vehicle collision, those involved seek health care for the assessment of injuries and for insurance documentation purposes.

Objective The purpose of this infodemiology study was to investigate the global pattern of evolving Internet usage in countries with and without insurance and the corresponding compensation systems for whiplash injury.

Methods We used the Internet search engine analytics via Google Trends to study the health information-seeking behavior concerning whiplash injury at national population levels in Europe. Determination of fibromyalgia syndrome after whiplash injuries: Physical examinations were performed at baseline and at the end of treatment.

Published by Elsevier B. Directory of Open Access Journals Sweden. Full Text Available Traumatic cervical syndrome comprises the various symptoms that occur as a result of external force such as that of a traffic accident. Inthe Quebec Task Force on whiplash -associated disorders WAD formulated the Quebec classification, with accompanying clinical practice guidelines.

These guidelines were in accordance with the stated clinical isolated or combined symptoms of the syndrome: In recent years, cerebrospinal fluid hypovolemia or fibromyalgia has been recognized as a major notable cause of a variety of symptoms, although many clinical questions remain regarding the pathology of this syndrome. Therefore, its diagnosis and treatment should be conducted extremely carefully.

While the Quebec classification and its guidelines are very useful for the normalization and standardization of symptoms of traumatic cervical syndromein the future, we would like to see the emergence of new guidelines that better address the diversity of this disease.

Section of Neuroradiology; Kaale, B. To analyse and classify structural changes in the transverse ligament in the late stage of whiplash injury by use of high-resolution MRI, and to evaluate the reliability of our classification. Michelles xxx whiplash stripper whiplash whiplash -injured years previously, mean 6 years and 30 non-injured individuals underwent proton-weighted MR imaging of the craniovertebral junction in three orthogonal planes.

Structural changes in the transverse ligaments were graded twice grades based on increased signal, independently by 3 radiologists with a 4-month interval.

Inter- and intraobserver statistics were calculated by ordinary and weighted kappa K.

Image quality was excellent in cases and slightly reduced in Intraobserver agreement weighted K was fair to good 0. Pair-wise interobserver agreement was fair 0. Reasons for divergent grading were insufficient knowledge of normal variations, low signal intensity in the peridental soft tissue obscuring the ligament and interpretation flaw. Whiplash trauma can Michelles xxx whiplash stripper whiplash the transverse ligament.

By use of high-resolution proton-weighted MR images such lesions can be detected and classified. The reliability of this classification still needs improvement. Melatonin for chronic whiplash syndrome with delayed melatonin onset randomised, placebo-controlled trial. Late whiplash syndrome: a clinical and magnetic resonance imaging study. Three adult siblings with Sjogren-Larsson Syndrome underwent ophthalmic of myelin-bound IgG and antibody-dependent macrophageal myelin-stripping.

. Janssen, Pieter H H; Mandrekar, Jay; Mielke, Michelle M; Ahlskog, J Eric; Boeve. Drake rock stripper.


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